| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.49 | $31.49 | $31.49 | |
Aetna
| Professional | $31.49 | $38.27 | $55.74 | |
Cigna
| Facility | $69.70 | $69.70 | $85.70 | |
Cigna
| Professional | $59.25 | $59.25 | $75.04 | |
Emblem Health
| Professional | $78.29 | $78.84 | $112.27 | |
Horizon BCBS
| Professional | $40.08 | $40.08 | $57.01 | |
United
| Professional | $38.64 | $42.76 | $78.67 |